Chapter 369 Fist is afraid of the young and strong!
The stick is afraid of the old wolf.
In the medical circle, older doctors have rich experience, and their ideas for diagnosing conditions and designing treatment plans are worth learning from young people. Therefore, many surgeons will switch to internal medicine when they get older.
Of course, switching to internal medicine is also related to limited physical strength and energy.
Boxing is afraid of young people. Surgery is a job that requires physical strength.
A surgery requires a high degree of concentration for seven or eight hours, and it is inevitable that there will be some occupational diseases in the decades to come.
The body is capital and the basic condition for becoming a top surgeon.
Although Shan Zhenyu's surgical skills have always maintained a high level, in recent years he has been considering retreating behind the scenes and leaving the surgery to young people.
As an expert, my eyesight is naturally extremely demanding.
There was no problem with Zhao Yuan's surgery.
He even has a posture that surpasses that of some deputy chief physicians outside Shenwai.
After the ventriculoscopy is done, the next step is to remove the thrombus.
There are many causes of stroke. Bai Shenghua's cause was a blood clot in the brain.
It is generally divided into conservative treatment and surgical treatment. When intravenous thrombolysis fails to work, surgical thrombolysis must be used.
A ventriculoscope is used to provide a visual field.
In fact, Zhao Yuan can determine the location of the thrombus based on the preoperative imaging data.
If it is placed on the battlefield or other special occasions, he can perform thrombectomy without the assistance of ventriculoscopy.
But now in the operating room, there are conditions for using ventriculoscope, so there is no need to blindly take it.
After all, when it’s time to be low-key, it’s better to be low-key.
Neurosurgery spends a lot of money on auxiliary navigation. As an emergency surgeon, if you can perform surgery well without auxiliary equipment, wouldn't you be mocking others?
It's like a sect martial arts competition in Xiuzhen.
The rules allow you to carry weapons and magic weapons. You don't need weapons or magic weapons. You just rely on a pair of iron fists to fight with others and beat them half to death.
It will look too unsociable!
Under Zhao Yuan's control, the guidewire moved flexibly, like a sports car running on the highway, avoiding various blood vessels and reaching the location of the thrombus in an instant.
The conduit sneaks in and locks the target.
A purple-red blood clot was sucked by a force and moved obediently along the wall of the tube.
After a while, the thrombus came free along with the catheter and was pulled out of the body.
Because Bai Shenghua has been paralyzed for a long time, there are actually many "hidden injuries" in his head. The blood clot that caused the stroke was removed, but there are other hidden dangers and risks.
Zhao Yuan continued to operate the guide wires and catheters, and began to sort out the internal environment. Like a diligent maintenance worker, he repaired and perfected the damaged circuits of the machine one by one.
Although Zhao Yuan was very efficient, the process was somewhat lengthy due to too many broken parts.
The problem of brain blood clots has been resolved.
But Zhao Yuan had no intention of stopping there.
He dialed Xie Changtian's phone number.
After hearing what Zhao Yuan said, Xie Changtian was silent for a few seconds, "Are you sure you want to do this surgery?"
Zhao Yuandao: "According to the patient's current situation, even if he wakes up, he is still paralyzed, and the problem of blood clots will still appear in the later stage. To treat the disease, we must cure the root cause and solve the problem of his paralysis."
Xie Changtian said: "What do you think is the root cause of paralysis?"
Zhao Yuandao: "It has to do with the spinal cord."
Xie Changtian said: "I will inform Fang Boran for consultation."
Fang Boran quickly arrived at the emergency surgery department.
He had cooperated with Zhao Yuan once and knew Zhao Yuan's strength very well.
At first he picked up the film and studied it with great interest, but soon a complex look appeared in his eyes.
"Do you want to repair his spinal cord? This is extremely risky!"
Bai Shenghua's spine had obvious fractures and dislocations.
This is already the standard for high paraplegia!
Fang Boran said solemnly: "The operation is very difficult. I have been practicing for so many years. Generally, when I encounter similar cases, I will persuade the family members to give up."
Zhao Yuan handed Fang Boran the surgical idea he had already drawn.
Fang Boran took it in his hand, frowned and studied it, his eyes flickering, analyzing the possibilities.
Posterior open reduction of thoracolumbar spine, t12/l1 laminectomy, nucleus pulposus removal, spinal canal decompression, bone grafting, fusion and internal fixation...
The terminology that sounds complicated is clearly displayed through a few hand-drawn drawings, which is far more straightforward than describing it in words.
Fang Boran raised his head and glanced at Zhao Yuan, "How sure are you?"
Zhao Yuandao: "Not high, ninety percent!"
Fang Boran's expression twisted.
Ninety percent, still not high?
Zhao Yuan usually seems very easy-going, bragging and not drafting.
Since you have such a loud voice, let me leave it to you to do it?
The success rate of 90% forced him, the leader of the spine team, to say nothing more.
Fang Boran and Xie Changtian said, "Let's communicate with the patient's family! If we agree to do this operation, the patient will have a chance to stand up again. Of course, the operation will also fail. The patient's paralysis symptoms may become more serious, and the patient's paralysis may become worse.
Some sequelae.”
Xie Changtian was quite surprised.
Judging from Fang Boran's tone, he was in favor of this operation.
A top emergency surgery department must have top experts who are proficient in orthopedics.
Ren Min was in Tianhua before, and he took on this important responsibility.
After Ren Min left, the biggest impact on emergency surgery was that there was a vacancy in difficult emergency surgeries in the direction of orthopedics.
However, with the rise of Zhao Yuan, it seems that this problem has been solved.
Xie Changtian suddenly realized why Ren Min left without hesitation.
Maybe he already knew that Zhao Yuan could take his place.
The neurosurgery operation was over, and Liusha left the emergency surgery department.
Shan Zhenyu saw her coming back and asked about the operation, "How is the patient's condition?"
Liu Sha said: "The operation is not over yet, we have to do spinal surgery next!"
Shan Zhenyu reacted very quickly, with surprise in his eyes, "Did the patient's family ask for it? Solve the problem of paralysis at the same time?"
A complicated smile appeared on Liu Sha's lips, "Zhao Yuan proposed it! Director Fang of the spine team has already gone over to study the treatment plan with Zhao Yuan."
Shan Zhenyu has seen the patient’s whole body information.
As the chief director of neurosurgery, I have been practicing for many years and have been exposed to a lot of spine and spinal cord surgeries.
His rich experience puts him at the top level in Tianhua. Even if Fang Boran compares with him, he still deserves enough respect.
But facing the problem of Bai Shenghua's paralysis, Shan Zhenyu didn't have much confidence.
There was a look of sadness in his eyes, and he sighed, "Young people should do this. They know that there are tigers in the mountains, so they prefer to go to the tiger mountains."
Boxing is afraid of young people.
What I fear is not the physical strength of young people, but the ignorance, fearlessness and courage of young people to move forward.
If it were Shan Zhenyu, it would be difficult for him to make up his mind to undergo the next operation.
However, there was a time when Shan Zhenyu had his hands in his pockets and did not know what his opponent was.
